Multiple Choice
The nurse is caring for a client with deficient fluid volume caused by a massive burn injury. Which of the following assessment data will be of greatest concern to the nurse?
A) The blood pressure is 90/40 mm Hg.
B) Urine output is 30 mL over the last hour.
C) Oral fluid intake is 100 mL for the last 8 hours.
D) There is prolonged skin tenting over the sternum.
Correct Answer:
Verified
Correct Answer:
Verified
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